CMS Price Transparency Data

Total hip replacement

Facility: Lafayette Regional Health Center

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$2,914
about 0.2× the $13,117 Medicare rate · typically $2,035–$10,563
modeled estimate · not a bill or quote
What this hospital charges insurers
$8,849
Well above the fair price
about $5,935 over the fair price · 0.7× Medicare
Medicare pays $13,117 Fair price $2,914 This hospital $8,849

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

On the higher side — 6 of 8 other MO hospitals charge less.

Cheapest $2,346 Priciest $12,050

Black dot = this hospital, among the 9 MO hospitals with a price for this procedure. Full list below.

A fair price for a Total hip replacement is about $2,914 (about 0.2× the $13,117 Medicare rate). Lafayette Regional Health Center charges insurers about $8,849 — well above the fair price. Located in Lexington, MO.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $2,914. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $8,509 - $38,731 65%
Aetnamajor $8,849 67%
Humanamajor $14,000 107%
Amerigroup $8,849 67%
UniCare $8,849 67%
+ 3 smaller / regional plans $2,550 - $8,849
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1500 State Street, Lexington, MO 64067
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals